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Jurnal Keperawatan
Published by Universitas Muhammadiyah Malang
ISSN : 20863071     EISSN : 24430900     DOI : 10.22219/jk
Core Subject : Health,
Nursing
Jurnal Keperawatan is a peer-reviewed journal published by School of Nursing at the Faculty of Health Science, University of Muhammadiyah Malang (UMM), which is focusing on several issues in nursing field. The first volume was published on 2010, and it is published twice a year, issued on January and July.
Arjuna Subject : -
Articles 634 Documents
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Family support and health-related quality of life in chronic kidney disease patients on hemodialysis: A Cross-Sectional Study Noor Faidah; Anindya Chairina Ahya; Nila Putri Purwandari; Sri Hartini; Heriyanti Widyaningsih
Jurnal Keperawatan Vol. 17 No. 2 (2026): May
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i2.42225

Abstract

Introduction: Chronic kidney disease (CKD) is a progressive condition that frequently requires long-term hemodialysis, placing significant demands on patients’ physical health, psychological state, and social functioning. Family support has been identified as a meaningful factor in patients’ adaptation to chronic illness and in maintaining treatment adherence.Objectives: This study examined the association between family support and quality of life among patients with CKD undergoing hemodialysis.Methods: A cross-sectional correlational study was conducted with 52 hemodialysis patients at RAA Soewondo Regional General Hospital in Pati, Indonesia, selected through total sampling. Family support was measured with the 20-item Family Support Questionnaire; quality of life was assessed with the EORTC QLQ-C30. Data were analysed using the Chi-square test at a significance level of 0.05.Results: Half of the respondents reported high family support (50.0%), and 38.5% reported good quality of life. A significant association was found between family support and quality of life (p < 0.001), with stronger family support consistently associated with better quality-of-life outcomes.Conclusion: Family support is significantly associated with quality of life in hemodialysis patients. These findings suggest that family-centred nursing interventions should be integrated into routine hemodialysis care, with particular attention to patients whose family support is limited or inconsistent.
Comparing flip chart and video-based diabetes self-management education on self-care in patients with type 2 diabetes mellitus in primary care: A two-group pretest–posttest study in Indonesia Tiara Rizkika Bella; Popi Sopiah; Rafika Rosyida
Jurnal Keperawatan Vol. 17 No. 2 (2026): May
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i1.42966

Abstract

Introduction: Type 2 diabetes mellitus (T2DM) is a global concern managed in primary healthcare settings, including in Indonesia. Enhancing self-care skills is crucial for preventing complications and improving disease control. The effectiveness of various educational media in Diabetes Self-Management Education (DSME) programs requires further exploration.Objectives: This study aims to compare the effectiveness of diabetes management education using flipcharts and videos on improving self-care skills in T2DM patients at primary healthcare facilities.Methods: A quasi-experimental design with a two-group pre-test-post-test approach was used, with 30 purposively selected participants. The DSDCA instrument assessed the conditions before and after the intervention. Four education sessions were delivered, with one group using flipcharts and the other videos. Data analysis included the Shapiro-Wilk test for normality, paired t-test for within-group changes, and independent t-test for between-group differences.Results: Both groups showed significant improvement (p = 0.001), with the flipchart group’s average self-care score rising from 32.00 to 59.30, and the video group’s from 35.33 to 56.73. However, there was no significant difference between the groups (p = 0.077).Conclusions: Both flipcharts and videos significantly improved self-care skills, suggesting that low-cost, technology-based media are as effective as more expensive alternatives. These findings are particularly relevant for implementation in low- and middle-income countries, offering flexibility for primary care nurses to select appropriate educational media based on patient needs and resources.
Digitalization of National Health Insurance (JKN) claims and hospital operational efficiency in BPJS Kesehatan partner hospitals: A Systematic Literature Review with Conditional Meta-Analysis Shafitri Nire pangestika; Ernawati Ernawati; Rita Rahmawati; Lazuardi Fatahilah Hamdi; Cahyu Septiwi
Jurnal Keperawatan Vol. 17 No. 2 (2026): May
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i2.45167

Abstract

Introduction: Digitalization of National Health Insurance (JKN) claims is a major administrative health reform in Indonesia; since JKN's 2014 launch, transaction volumes have exceeded 1.37 million claims per day, straining conventional paper-based systems. No prior review has systematically synthesized digitalization's cumulative impact on operational efficiency in BPJS Kesehatan partner hospitals.Objectives: This study aimed to synthesize evidence on the relationship between JKN claim digitalization and hospital operational efficiency, and to estimate the pooled effect on claim cycle time where study homogeneity permits.Methods: A Systematic Literature Review using the PRISMA 2020 protocol searched five databases—PubMed/MEDLINE, Scopus, Web of Science, Google Scholar, and Garuda—for publications from January 2014 to December 2024. Quality was assessed using STROBE, CASP, MMAT, and AMSTAR 2, and a conditional random-effects meta-analysis targeted claim cycle time, the outcome with adequate homogeneity across studies.Results: From 438 records, 25 articles met the inclusion criteria, reporting six efficiency dimensions: claim cycle time, first-pass rejection rate, cash flow/days in accounts receivable, staff utilization, ICD coding accuracy, and administrative cost per claim. Meta-analysis of 11 homogeneous studies showed a pooled mean reduction in claim cycle time of 19.6 days (95% CI: 14.2–25.1) post-implementation, with high heterogeneity (I² = 78.4%).Conclusions: The integrated TAM-UTAUT-RBV framework explains this evidence: systems combining automated bridging with real-time validation outperform partial digitalization, with human resource competency and IT infrastructure as key contextual factors. Findings carry implications for future research and for BPJS Kesehatan, the Ministry of Health, and hospitals in prioritizing capacity-adjusted digitalization strategies.
The Effect of family-centered care on self-efficacy and quality of life of hemodialysis patients Siti Nafisah; Ratnasari Ratnasari; Swanny Trikajanti Widyaaymadja
Jurnal Keperawatan Vol. 17 No. 3 (2026): July
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i3.44672

Abstract

Introduction: Family support is an important factor in helping patients cope with health problems and reducing perceived burdens. In Family-Centered Care (FCC), families are involved in patient care and decision-making together with health professionals. FCC is expected to improve self-efficacy and quality of life in hemodialysis patients.Objectives: This study aimed to determine the effect of the Family-Centered Care method on self-efficacy and quality of life among patients undergoing hemodialysis therapy.Methods: This study used a quasi-experimental pre-test-post-test design with a control group. A total of 118 respondents participated in the study. Self-efficacy was measured using the General Self-Efficacy Scale (10 items), while quality of life was measured using the KDQOL SF-36 questionnaire (36 questions). The SF-36 has been validated and widely used to assess health-related quality of life in patients with chronic kidney disease undergoing hemodialysis. Reliability testing showed a Cronbach’s α value of 0.78.Results: The intervention group showed a significant improvement in self-efficacy (p = 0.001). Quality of life also improved significantly (p = 0.000). Both results were below the 0.05 significance level, indicating that the FCC intervention had a significant positive effect on hemodialysis patients.Conclusions: Family-Centered Care significantly improved self-efficacy and quality of life in hemodialysis patients and can be recommended as an effective nursing intervention approach.

Page 64 of 64 | Total Record : 634

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